Individual
MUTIAT OLAWUNMI OLAYIWOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5116 N BIG HOLLOW RD STE 101, PEORIA, IL 61615-3514
(309) 674-2000
Mailing address
20789 DEXTER STREET, LYNWOOD, IL 60411
(773) 732-1821
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019036249
IL
Other
Enumeration date
06/09/2025
Last updated
07/09/2025
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